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April 22, 2011
Tom Dolan
PO Box 297
Chesterfield, MA 01012
Subject Property:
143 Maplewood Terrace
Northampton, MA 01060
Mr. Dolan,
The plans for the Single Family Residential remodeling dated 4 -22 -11 have been approved as noted;
1. Structure conforms to 780 CMR 7 addition 1 and 2 family building codes.
2. Energy aspects must comply with 2009 IECC prescriptive and mandatory requirements or an
appropriate HERS rating. Northampton has the stretch energy code. (appendix 120AA)
3. New windows must meet Energy Star requirements.
4. Air sealing must be complete and continuous.
5. Must be a hard wired smoke and CO within 10' of the modified bedroom and a smoke detector
in the modified bedroom.
6. Appropriate beam sizing and supports, with a bearing path to the foundation.
L
Charles Miller
Assistant Commissioner of Buildings
r �) i , (� a At'assacktusett8 �� Wit t= 0..Titv of Northampton II, ,
DEPARTMENT OF BUILDING INSPECTIONS _; I /?
INSPECTOR 212 Main Street • Municipal Building 7c, .
Northampton, MA 01060 s`,y
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction super ,•sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm struct A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill)
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected. .
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
a `
•
,R ti (LiI� of Northampton
� i� E �iazanrhntctla' _ • �
• mr,,D
DEPARTMENT OP ouiLDrtc INseeCTJONS
212 Main Street. Municipal Building
Northampton, Mass. 01060 r
>t'
WORK IZ'S COMTENSAT'ION I SITRAI CE A1TIDe\.
•
- - h i ll 0 /4kJ rteee ,��R�lc -fog -
(li ccns 1permittcc)
\kit.h a principal place of business/residence at:
•
r'ro. (ti4'5 ter fiv /1 et,. 0/0/ 2_ (I) hone:') 1 //3 297--5% q
(sip Jci ty /stal.cya p)
do hereby certify, under t.he.pains and penalties of perjury; lhai
(%./ I an an employer providing the followine worker's compensation cover For Illy • •
employees wotbng on this job:
kb ( � i 2 - 1 � i � - - - -- - -_.. ( - ? 6 7 / 1 4 - g6 -- 1 f
( an= Comnacv) (Policy Nu_rn cr) (E zpir[ion Da e)
( ) I am a sole proprietor, general contractor or hom.eoivner (ciscie one) and have hired
the conn ors Listed below wbo have the following worker's coonen-sation paGcies:
(1`omc of Con io ) (In vrance Commparty /Polio y (Expliduon Dalc)
(Name of Contractor) (Lnsl Company/Policy Nu.t3crf) (Expu-tion Date)
(Name of Contactor) (lnsuranca Ca m /Po ljcy N:i n r) (Expiration Date)
•
t
(Name of Contractor) rangy om /Poti Numbs `Expiration Date) .
C t
( Insu �-IIY cY )
(an.acb �ditoc J r,-s.z nccaary to finch do iafoct7..aoo per`" to all ccccrtors)
( ) I am a sole proprietor and have no one worg for me.
( ) I am.a home owner performing all the work myself.
NOTE: ptcx be ' ro t1„• ' 1Jc bomcowacrr w crapl ay pcl.cyru to do r•= repay work on d••cn_z of
ao( mote th:n throe =kJ in which the bomaowocr raider oc ca the ground appurtc=rA the-ex a."c oo( 1rny oeeridaed to be
eupiayca r rr the •'airrl c � - - Act (GLI 52-=1(5)). epptiazioo by a bomeowocr fora a G _ a permit ray c idccxx the
Icgz.l n ».. of an exployoc under Ito Work.o,' • Coonpomafioa Act.
t - o4 tb.rt a. oopy of hi. cat.cmcrst may b. forwarded to Lb. DcputmmC of 1.,A.rr ;al Ad' OtLou of trs oca for tb.
eovcrs -sc vcriBcnioo and th1 Ciltac to tocure'eovcrn.gc undc c ioa 25A of MQL 152 cut i 4 to the iapoaition of ctmra.al peoi16r3
c o c i s t i a g of a f i n e or trp to S 1 „SO0.00 and/or c>crriyoomen oCup to oat yc_r and c.il paulua n dc form of a Stop Work Order and a
run o(atOo-QO r d_.y atpict me
/ / For ."..K.• 1, t
hQ f / ✓
Permit Nuix
mr Lot -- �: —
S Z ara Date rr of Lic�sccJPcrmiucc
r �
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : ' /nd-i bi7A cad,/ zJ ?2 c/
License Number
? . &24 `7 l ' /7 -/ � � /� d O 7/ J*- 8-Joy/
Address Expiration Date
Signature Telephone
9.Regisfeiei} fforr"re+l'thriect ferrten tatiird'cf ' 7i , Not Applicable .
7m oARAi eefie7 , lOS'44J /095oo
Company Name Registration Number
, 0 , 2 `%7 C h ?osie,t, %-/ /, )11 , 0/0/7,_ y -29
Address / Expiration Date
�.
`-‘) l / Telephone '//3 - 2 y7
SECTION 10 WORKERS' COMPENSATION INSURANCEAFFIDAVIT (M.G.L. c 152, §
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the b7g permit.
Signed Affidavit Attached Yes No ❑
The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from, time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House [l Addition Replacement Windows Alteration(s) Roofing
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [CI] Decks [E] Siding [CI] Other [O]
Brief Description of Proposed N` u i dH L i , ' es7 r J-o ' , F✓n �� r P0/ Wass v1�P{ c ed 6"115/, cAbi.✓Pu f
Work: IAA 4" '-v 7n1641,, )3.q j8" /0 1#4 et.,( ,04. c ast evcc(� , f,u � rc
de' I rots
Alteration of existing bedroom V Yes No Adding new bedroom Yes
✓ No
,6 uc�
Attached Narrative Renovating unfinished basement Yes ,/ No
Plans Attached Roll - Sheet
6a. C�' Neatr�aE [s�°aEECto�acCc�itC�r't� ei�l�s�ll�c�ovsicl�ii�pCefe����a���OVr�irva:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank _ City Sewer Private well City water Supply
SECTION 7a- OWNER AUTHORIZATION- WHEN
OWNERS AGENTOR CONTRACTOR APPLIES BUILDING PERMIT
?
I, botoki • - e ^ , as Owner of the subject
property
- -.. ; thorize / di AI/ 6 /c /() l 6 / /IAG g_
to a . my behalf, '. al m / ative to work authorized by this building permit application.
X ;c21,211
ignature of Owner Date
1, 7hop 'Dolma , as Owner /Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
,/
Signature of Owner /Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incompl-te Information ,
Existing Proposed Required b ZorEing
This column t be fined in by P
Building Dep. • ent W It I jpik l y
i
Lot Size — _._. _ _ _— _ _` ` i
Frontage _ ._,., „
Setbacks Front
Side L: — R: L: R:-
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved ! I
parking)
# of Parking Spaces '
Fill: j
(volume & Location) •– . —
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW 0 YES 0
IF YES, date issued:: a
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page' and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission? '
Needs to be obtained Q Obtained Q Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
-6.1(.(_e
" 1 _ Q;.,,,,,.,.„.„..as.g.,,f,,mv..7-.
.. - c� Al i/'
• RECEIVED " Northampton Statu afP i t, , r , �� �
acid z D ' Cu€ C,.!t D€ Je' k e#11i .4 �
21 )'Main Street e p �l`i�� t, N, ,. .
ii Room 100 " vp- . e H � 6� 4
AM
4 21).- ha_ Upton, MA 01060 Turot e ofS rPIans5 W � " ' 4 �`
87 1240 Fax 413 - 587 -1272 ��S�ei0ta sue„ �� � � � � � � �
etat. 1-Inne 411- opt oF
INSPEL`r � = £ `�...2 `K,. . . '°r ': s -''' do-"„'. '" 'r
NORTHAMPTON, MA 01080 Other Specs
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1. - SITE INFORMATION
1.1 Property Address: ' Thissectlon>:to be completed by o ffice
l
�1 //. rr <, M lat Unr
Ro O
/117 ' O7 c
4r4tt, !Atria
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED-,AGENT
2.1 Owner of Record: (,,
ry < /y? G ICL ec r / rtac . / ' ,/ *AI-
Na t �� Current Ngailin Adc�rc f _ 74,117
k = _ ,� Telepone
lure
2.2 Authorized Accent:
1. 1� aL AN 601 , Cvnf� foe y � c� - � ,�' Gh Ps -t >v tai 01Z
Name (P i Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building c �� (a) Building Permit Fee
70 3 cc
2. Electrical ! /!� (b)
! t �� U ` Construction Estimated Total from Cost (6) of
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection _ •
6. Total = (1 + 2 + 3 + 4 + 5) i '�J�' i $55� O( � Check Number (�q(Q ( ±
Th Sect For Official Use Only
Date
Building Permit Number Issued:
Signatur 41r . �
Building Commissioner /Inspector of Buildings Date
•
-C)
17
)1407 _Ls - 1° (g rt ) 76-Q/Aral
•
\- '4 , 4' . '"Y 4
/ 7 1 4 eflrY ° /S1 yy
143 MAPLEWOOD TER BP- 2011 -0849
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D -161 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit # BP- 2011 -0849
Project # JS- 2011- 001397
Est. Cost: $50855.00
Fee: $305.13 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS DOLAN 039281
Lot Size(sq. ft.): 10672.20 Owner: ALLEN BONNIE G
Zoning: URB(100)/ Applicant: THOMAS DOLAN
AT: 143 MAPLEWOOD TER
Applicant Address: Phone: Insurance:
P 0 BOX 297 (413) 585 -0612 () Workers Compensation
CH ESTERFIELDMA01012 ISSUED ON:4/26/2011 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD 1ST FLR 1/2 BATH,REPLACE
CABINETS,EXPAND 2ND FLR BATH,REMOVE WALL BETWEEN 2 BEDRMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
t o $ . i Footings:
G,'_ Roug16,_ /i I/ Rough: .5",ee1atc i.2 House # Foundation:
Driveway Final:
Final: .2 - I • al
I : " / ? ) 11 I fY FL6P di(' �% k - caikt
Mei Rough Frame: 1'
—' - ?4.1V'ii,dV6- ( 3.g ov.-
- '-° r ; p, f` °"t 1'A4,0-2` =l /a E
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: Asa ft 844 (34Cri e
Final: Smoke: Final: c(O 3 --/ /c'
THIS PERMIT MAY BE REVOKED BY THE CITY OF ■ I RTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE • •► it [ I _QIKr'J<1�
if, 7 i�f .4 f.".*
Certificate of Occupant „, , ,-- '''gnature:
FeeType: Date Paid: Amount:
Building 4/26/2011 0:00:00 $305.13
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner